摘要
目的:探讨天然黎王贴外敷配合手法推拿治疗膝骨性关节炎风寒湿痹证的临床疗效。方法:采用随机对照研究的方法,选择膝骨性关节炎风寒湿痹证患者80例,随机将其分为治疗组和对照组各40例。治疗组采用天然黎王贴膝关节处外敷,对照组采用吲哚美辛巴布膏膝关节处外敷,两组均为2次/d,6 h/次,连续使用14 d。两组均配合手法推拿,采用VAS评分、WOMAC评分和中医疗效标准评估临床疗效。结果:两组治疗前VAS评分差异无统计学意义(P>0.05);与对照组比较,治疗组治疗结束后VAS评分明显降低,差异有统计学意义(P<0.01)。两组治疗前WOMAC评分中疼痛、僵硬和关节功能障碍评分差异无统计学意义(P>0.05);与对照组比较,治疗组治疗结束后WOMAC评分中疼痛、僵硬和关节功能障碍评分均明显降低,差异有统计学意义(P<0.05或P<0.01)。与对照组比较,治疗组治疗后有效率(治愈、显效、有效)高于对照组,差异有统计学意义(P<0.05)。结论:天然黎王贴外敷配合手法推拿能明显减轻膝关节疼痛,改善膝关节功能,临床效果显著。
Objective:To investigate the clinical effect on external application of natural Liwang plaster combined with manual massage in the treatment of knee osteoarthritis of wind cold dampness type.Methods:80 cases of knee osteoarthritis with wind cold dampness type were randomly divided into treatment group and control group,and each group had 40 cases patients.The treatment group was treated with natural Liwang plaster on the knee joint,while the control group was treated with indomethacin cataplasm plaster.The two groups were used twice a day,6 h each time,for two weeks.Both groups were combined with massage,and the VAS score,WOMAC score and TCM efficacy standard were used to evaluate the clinical efficacy.Results:There was no significant difference in the VAS score between the two groups before treatment(P>0.05).Compared with the control group,the VAS score of the treatment group was significantly lower after treatment(P<0.01).There was no significant difference in WOMAC scores of pain,stiffness and joint dysfunction between the two groups before treatment(P>0.05).Compared with the control group,the WOMAC scores of the treatment group were significantly lower than the control group(P<0.05 or P<0.01).Compared with the control group,the effective rate(cured,markedly,effective)of the treatment group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion:Natural Liwang plaster combined with manual massage can reduce knee joint pain and improve knee joint function,it has a good clinical efficacy.
作者
周利民
闫兆东
黄健
陈鸣
ZHOU Limin;YAN Zhaodong;HUANG Jian;CHEN Ming(Haikou Hospital of Traditional Chinese Medicine,Haikou 570216,China)
出处
《中国中医骨伤科杂志》
CAS
2020年第11期14-17,共4页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
第六批全国老中医药专家学术经验继承项目(国中医药人发[2017]29号)
海南省卫生计生行业科研项目(19A200127)。
关键词
天然黎王贴
手法推拿
膝骨性关节炎
风寒湿痹
natural Liwang plaster
knee osteoarthritis
wind cold dampness Bi type
inflammatory factors
作者简介
通信作者:黄健,E-mail:wawayjs@sina.com。
